Pulmonary tuberculosis in the Central Prison of Douala, Cameroon

East African Medical Journal
J NoeskeR Pouillot

Abstract

To determine the prevalence of and factors associated with pulmonary tuberculosis (PTB) in an urban prison in sub-Saharan Africa. A cross-sectional survey. The Central Prison of Douala, Cameroon. Two thousand four hundred and seventy four (87.4%) out of 2830 inmates underwent screening. Twenty seven (1.1%) of the inmates were under treatment for smear-positive PTB on commencement of the survey while 60 (2.4%) were diagnosed with smear and/or culture-positive PTB during the active case finding, resulting in a point prevalence of PTB of 3.5%. HIV seroprevalence in inmates without clinical signs of PTB was 111/1067 (10.4%) while it amounted to 6/24 (25%) in PTB patients. In multiple stepwise regression analysis, a low BMI, a prison stay of < or = 12 months, and a history of previous incarceration were positively associated with PTB. The study results confirm the high prevalence rates of PTB in prison populations and underscore the need for urgent preventive measures.

Citations

Jun 19, 2010·American Journal of Respiratory and Critical Care Medicine·Keren MiddelkoopRobin Wood
Jan 15, 2014·International Journal of Epidemiology·David G DillonUNKNOWN African Partnership for Chronic Disease Research (APCDR)
Apr 23, 2015·Asian Pacific Journal of Tropical Medicine·Zelalem AddisYegnasew Takele
Mar 2, 2010·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Abdul M KaziSten H Vermund
May 26, 2016·Health Policy and Planning·Stephanie M ToppGerman Henostroza
Nov 18, 2016·Journal of the International AIDS Society·Chantal L EdgeMartin McKee
Oct 3, 2018·International Journal of Prisoner Health·Katherine LaMonacaFrederick L Altice
Aug 25, 2017·Archives of public health = Archives belges de santé publique·Addisu Melese, Habtamu Demelash
Nov 7, 2019·Tuberculosis Research and Treatment·Gambhir ShresthaParas Kumar Pokharel
Feb 15, 2011·Journal of the International AIDS Society·Katherine W TodrysMichaela Clayton

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